Individual
ELIZABETH MAY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D75554
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D75554
MD PROFESSIONAL LICENSE
MD
Enumeration date
06/01/2008
Last updated
07/22/2013
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